| NPI | 1598041675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 461498) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2013-04-19 |